Type I occipital condyle fracture, right side, 7thD

This code signifies a fracture of the right occipital condyle, specifically a Type I injury, which involves an impaction fracture without significant displacement. It indicates that the patient is in a follow-up phase of treatment, and the fracture is progressing with expected healing.

Apply this code for patients presenting for routine follow-up appointments after an initial diagnosis of a right Type I occipital condyle fracture, where the physician documents normal healing progress. Documentation should explicitly state "subsequent encounter" and confirm routine healing, often without complications.

• Ensure the documentation specifies "Type I" occipital condyle fracture and "right side."
• Verify the encounter is for follow-up care and not initial treatment or a complication.
• Distinguish from nonunion or malunion, which would require different subsequent encounter codes.